MEDICARE: KATHERINE BRUCE DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4601	OH

General Provider Information

NPI Number	:	1346607397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE BRUCE DC

Provider Business Mailing Address
First Line	:	422 N COLUMBUS ST
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-3033
Country	:	US
Telephone Number	:	740-422-8484
Fax Number	:	740-422-8486

Provider Business Practice Location Address
First Line	:	422 N COLUMBUS ST
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-3033
Country	:	US
Telephone Number	:	740-422-8484
Fax Number	:	740-422-8486

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2016
Last Update Date	:	11/23/2021

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Directions to “ KATHERINE BRUCE DC” Practice Location

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